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Mr. James Matthew Green, LPC
Professional Counselor in Charlotte, North Carolina
NPI 1003890724

James Matthew Green is a Professional Counselor based in Charlotte, NC and is specialized in Professional. James Matthew Green practices in Charlotte, NC and has the professional credentials of LPC. The NPI Number for James Matthew Green is 1003890724 and holds a License No. 862 (North Carolina).

The current practice location address for James Matthew Green is 1801 E 5Th St, Charlotte, NC and can be reached out via phone at 704-375-2822.

Location: 1801 E 5Th St, Charlotte, NC, 28204-2472
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003890724
Provider Name
James Matthew Green
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
1801 E 5Th St, Charlotte, NC, 28204-2472
Phone Number
704-375-2822
Fax Number
Provider Enumeration Date
12/06/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
37036 01 NC BCBS
institution
Provider Business Practice Location Address Details
Address
1801 E 5Th St
City
Charlotte
State
North Carolina
Zip
28204-2472
Phone Number
704-375-2822
Fax Number
person
Provider Business Mailing Address Details
Address
1801 E 5Th St
City
Charlotte
State
North Carolina
Zip
28204-2472
Phone Number
704-375-2822
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
862 (North Carolina)
Definition
Definition to come...
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